Template Member Application Business Information Company Name: * Leave Blank: Phone: * Directory Category: --- Select Primary Category --- Accountants / Bookkeeping / Tax Advertising & Promotional Products Advertising Consulting Advisory Services Agriculture Airports & Aviation Alterations & Tailoring Animal Care Antiques & Thrift stores Apartments Appliance - Repair Appliance - Retail Appraisal Services Architects Armored Services Asphalt & Concrete Associate Members Attorneys & Lawyers ATV Sales & Service Audio Automobile Automobile - Dealers Automobile - Detailing & Washing Automobile - Parts Automobile - Rental Automobile - Services Awards Bakeries Banks Bars Beauty Salons & Services Beverage Distributors Book Stores Brakes Builders - Residential & Commercial Building Materials & Supplies Business and Professional Services Business Incubator Business Process Outsourcing Butcher Shops Cable Television Cards Carpet Cleaning Casinos Catering Cellular Certified Reference Material Chamber of Commerce Check Cashing Child Care Chiropractors Churches Cleaning Supplies Clothing - 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Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: Line 2: City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Primary Contact Information First Name: * Last Name: * Phone: * Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Membership Options Membership Package: * Basic- $310: $310.00 This level provides basic Alliance benefits. This level is for small businesses with less than 5 full time employees and non-profit organizations. Marketing Option- $515: $515.00 This level provides basic Alliance benefits, plus: Two-months ad on the Alliance website, & Electronic list of Partners on request. Corporate Sponsor- $1,545: $1,545.00 This level provides basic Alliance benefits, plus: Eight-month ad on the Alliance website, & Electronic list of Partners. Pillar Sponsor- $5,000: $5,000.00 This level provides basic Alliance benefits, plus: Listing with link in the e-buzz (weekly e-newsletter), One Business After Hours, One year ad on the Alliance website, Electronic List of Partners, & Sponsor of New Member Orientation. Cornerstone- $10,000 : $10,000.00 This level provides basic Alliance benefits, plus: Annual Banquet Major Sponsor and table with preferred location, Major Sponsor of Annual Golf Classic and foursome, One-year ad on the Alliance website on the front page, Prominent listing in e-buzz (weekly e-newsletter), Two Business After Hours, Hometown Holiday Hurrah Sponsor, Ag Appreciation Banquet Major Sponsor with preferred table location (if a table is purchased), Leadership Laramie Tuition for one, Cornerstone Reception, & Electronic list of Partners. Chairman's Cornerstone- $20,000+: $20,000.00 This level provides basic Alliance benefits, plus: Table at Annual Banquet (preferred location) and Major Sponsor, Sponsorship of the Annual Golf Classic with foursome, One-year ad on Alliance website on the front page, Prominent listing in e-buzz (weekly e-newsletter), Two Business After Hours, Leadership Laramie Tuition for one, Hometown Holiday Hurrah Sponsor, Table at Ag Appreciation Banquet(preferred location) and Major Sponsor, Cornerstone Reception, Electronic list of Partners & Invitation to private receptions for any new businesses. Payment Option: Bill me Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of Laramie Chamber Business Alliance. I grant Laramie Chamber Business Alliance permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application
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